Second-Stage Robot-Assisted Biliopancreatic Diversion with Duodenal Switch After Sleeve Gastrectomy
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- 作者：G. Fantola ; N. Reibel ; A. Germain ; A. Ayav ; L. Bresler ; L. Brunaud
- 关键词：Duodenal switch ; Biliopancreatic diversion ; Robotic surgery ; Obesity surgery ; New technologies
- 刊名：Obesity Surgery
- 出版年：2015
- 出版时间：January 2015
- 年：2015
- 卷：25
- 期：1
- 页码：197-198
- 全文大小：82 KB
- 参考文献：1. Scopinaro N, Gianetta E, Civalleri D, et al. Bilio-pancreatic bypass for obesity: II. Initial experience in man. Br J Surg. 1979;66(9):618-0. CrossRef
2. Lagacé M, Marceau P, Marceau S, et al. Biliopancreatic diversion with a new type of gastrectomy: some previous conclusions revisited. Obes Surg. 1995;5(4):411-.
3. Ren CJ, Patterson E, Gagner M. Early results of laparoscopic biliopancreatic diversion with duodenal switch: a case series of 40 consecutive patients. Obes Surg. 2000;10(6):514-3. CrossRef
4. Ramos AC, Galvao Neto M, Santana Galvao M, et al. Simplified laparoscopic duodenal switch. Surg Obes Relat Dis Off J Am Soc Bariatr Surg. 2007;3(5):565-. CrossRef
5. Khwaja HA, Stewart DJ, Magee CJ, et al. Petersen hernia complicating laparoscopic duodenal switch. Surg Obes Relat Dis. 2012;8(2):236-. CrossRef - 刊物主题：Surgery;
- 出版者：Springer US
- ISSN：1708-0428
文摘
Biliopancreatic diversion (BPD) was initially described in 1979 and consisted of a distal gastrectomy with a 250-mL stomach pouch and a distal intestinal bypass with a 50 to 100-cm common channel resulting in malabsorption of dietary fat (Scopinaro et al. Br J Surg. 66(9):618-0, 1979). Later, several modifications (sleeve gastrectomy, pylorus preservation, and duodenal switch) were proposed to improve incidence of postoperative dumping syndrome, diarrhea, and anastomotic ulcerations (Lagacé et al. Obes Surg. 5(4):411-, 1995). Gagner et al. developed a simplified and reproducible approach for laparoscopic BPD with duodenal switch (BPD-DS) after sleeve gastrectomy (Ren et al. Obes Surg. 10(6): 514-3, 2000). BPD-DS has been considered as one of the most difficult bariatric procedures for its surgical complexity and postoperative metabolic complications management. In this regard, the number of BPD-DS has remained extremely low (